Edinger, Lara Kristin

Edinger, Lara Kristin is an individual health care provider with primary practice located at 10921 Wilshire Blvd Ste 1109 , Los Angeles CA 90024-4005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Edinger, Lara Kristin can be contacted via phone (424) 273-4662.

Contact Information

Primary practice address
10921 Wilshire Blvd Ste 1109 Los Angeles CA 90024-4005
Fax: (310) 861-1358
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20A14194 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20A14194 California

Profile Details

NPI number 1053645887
LBN Legal business name Edinger, Lara Kristin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2009
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053645887 NPPES
California MEDICAID CB266766

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